NPIMap

Individual provider Active NPI

Laura Haley Tommaso, M.D.

  • Family Medicine Physician
  • Huntley, IL
National Provider Identifier
1063788107
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036136901 Issued in IL
Practice address
10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone
(847) 802-7500
Fax
(847) 802-7162
NPI assigned
Mar 22, 2012
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125061825 IL
Family Medicine Physician 207Q00000X 036136901 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste a
Huntley, IL 60142-9545

Mailing address

10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone (847) 802-7500

Other practice location 1

1538 N Arlington Heights Rd
Arlington Heights, IL 60004-3906
Phone (847) 253-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002000561 IL Practitioner - Family PracticePractitioner - Other (Physician) 2860700341 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Huntley, IL 60142-9545
Phone (847) 669-3880

3775 N Mulford Rd
Sa Immediate Care
Rockford, IL 61114-5632
Phone (779) 696-9202

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue633
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125061825ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Jul 26, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince Sep 24, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince Sep 24, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2020 Accepting new patients
Crystal Lake Immediate Care Physicians LTD. CurrentSince Mar 2, 2018 Accepting new patients
Tri-County Emergency Physicians, LTD CurrentSince Mar 1, 2018 Accepting new patients
Central Dupage Physician Group CurrentSince Jul 26, 2024 Accepting new patients
Swedishamerican Hospital Family Medicine Current Accepting new patients
Advocate Health and Hospitals Corporation PastSince Mar 2, 2018 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

360 Station Dr
Ste 300
Crystal Lake, IL 60014
Phone (815) 455-1800

525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

3775 N Mulford Rd
Rockford, IL 61114
Phone (779) 696-8400

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1063788107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "847-802-7500",
            "fax_number": "847-802-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "847-802-7500",
            "fax_number": "847-802-7162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1538 N ARLINGTON HEIGHTS RD",
            "address_purpose": "LOCATION",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043906",
            "country_code": "US",
            "telephone_number": "847-253-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMMASO",
        "first_name": "LAURA",
        "middle_name": "HALEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125061825",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.